Provider Demographics
NPI:1922469675
Name:HESS, MATTHEW BEAU (DMD)
Entity Type:Individual
Prefix:DR
First Name:MATTHEW
Middle Name:BEAU
Last Name:HESS
Suffix:
Gender:M
Credentials:DMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8001 SADDLEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:BRIDGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:15017-1180
Mailing Address - Country:US
Mailing Address - Phone:412-427-1633
Mailing Address - Fax:
Practice Address - Street 1:4156 LIBRARY RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15234-1349
Practice Address - Country:US
Practice Address - Phone:412-561-4464
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-03-09
Last Update Date:2016-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PADS0406951223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice